| NPI | 1780476093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 240393) |
| Additional Taxonomies | 101Y00000X Counselor |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |